I had a breast augmentation over 6 months ago now. The left breast healed and did it's "drop and fluff" very quickly. The right breast took forever to heal, the wound reopened several times and they had to use medical staples and re-close it multiple times. There was a seroma and drainage as well at the beginning. A drain was installed and that helped healing. The right breast has now been healed for over 3 months but it droops and clearly isn't the same size as the other.
Answer: Breast First, I would suggest getting an ultrasound to see if a seroma, excess fluid, is still present. It does appear to be larger in your photos. Second, that implant has bottomed out and needs to be tightened and uplifted from below. You might need an internal bra of mesh for better support. If no fluid is present, you will need to go smaller. I suspect you still have fluid from the size difference.
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Answer: Breast First, I would suggest getting an ultrasound to see if a seroma, excess fluid, is still present. It does appear to be larger in your photos. Second, that implant has bottomed out and needs to be tightened and uplifted from below. You might need an internal bra of mesh for better support. If no fluid is present, you will need to go smaller. I suspect you still have fluid from the size difference.
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January 14, 2024
Answer: Breast asymmetry Dear ashleynolt, it is hard to tell for sure without an examination. Based on your photos, it looks like you have some minor asymmetry. In these cases, fat transfer to smaller breast can improve symmetry. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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January 14, 2024
Answer: Breast asymmetry Dear ashleynolt, it is hard to tell for sure without an examination. Based on your photos, it looks like you have some minor asymmetry. In these cases, fat transfer to smaller breast can improve symmetry. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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January 14, 2024
Answer: The amount of issues you had with the right breast are likely the cause of the asymmetry Hello, Often when breasts are quite asymmetric prior to surgery this can worsen after surgery, especially if there are complications on one side and not the other. Your best option would be a revision of the pockets and you make need adjustment of the skin, but it should be possible to improve your look. Hope this helps!
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January 14, 2024
Answer: The amount of issues you had with the right breast are likely the cause of the asymmetry Hello, Often when breasts are quite asymmetric prior to surgery this can worsen after surgery, especially if there are complications on one side and not the other. Your best option would be a revision of the pockets and you make need adjustment of the skin, but it should be possible to improve your look. Hope this helps!
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January 11, 2024
Answer: Revision Your nipple-areola complexes are asymmetrical. The position is different as well as the size. You will need a circumareola approach on both nipple-areola complexes to make them more symmetrical. If volume is an issue then you might need a smaller implant or larger implant to compensate. Best Wishes, Gary Horndeski, M.D.
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January 11, 2024
Answer: Revision Your nipple-areola complexes are asymmetrical. The position is different as well as the size. You will need a circumareola approach on both nipple-areola complexes to make them more symmetrical. If volume is an issue then you might need a smaller implant or larger implant to compensate. Best Wishes, Gary Horndeski, M.D.
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January 11, 2024
Answer: Assessment and treatment options Sounds like there are a lot of things going on with your breast. To start with we always need to see a complete set of proper before and after pictures to make an assessment regarding the outcome of someone surgery. When referring to left and right, we always use the patience left side as the reference. When you describe issues with one side versus the other, make sure you’re not referring to how you see the breast on the picture but your left side(the side where your heart is) and your right side. It looks to me like your left implant is riding low and has begun to bottom out. Most people have a left breast that sits slightly higher on the chest wall than the right. This would be consistent with yours as a baseline and probably your preoperative pictures will show this. Your left nipple sits higher than your right. Size discrepancy is either a discrepancy in your baseline size, implant, size or you may have a chronic seroma. The left implant has bottomed out. You also have significant divergence on the left breast. You can’t surgically correct breast divergence. Size discrepancy can be adjusted with revision surgery and the bottom out implant on the left should probably be addressed. Correcting bottomed out implants is not always easy or straightforward. It may not be a bad idea to get a second opinion. For second opinion, consultations come prepared bringing with you a complete set of proper before and after pictures, operative reports, and progress notes of all things done to your breast. The easiest way to do this is to request a complete copy of your medical record. Best, Mats Hagstrom, MD.
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January 11, 2024
Answer: Assessment and treatment options Sounds like there are a lot of things going on with your breast. To start with we always need to see a complete set of proper before and after pictures to make an assessment regarding the outcome of someone surgery. When referring to left and right, we always use the patience left side as the reference. When you describe issues with one side versus the other, make sure you’re not referring to how you see the breast on the picture but your left side(the side where your heart is) and your right side. It looks to me like your left implant is riding low and has begun to bottom out. Most people have a left breast that sits slightly higher on the chest wall than the right. This would be consistent with yours as a baseline and probably your preoperative pictures will show this. Your left nipple sits higher than your right. Size discrepancy is either a discrepancy in your baseline size, implant, size or you may have a chronic seroma. The left implant has bottomed out. You also have significant divergence on the left breast. You can’t surgically correct breast divergence. Size discrepancy can be adjusted with revision surgery and the bottom out implant on the left should probably be addressed. Correcting bottomed out implants is not always easy or straightforward. It may not be a bad idea to get a second opinion. For second opinion, consultations come prepared bringing with you a complete set of proper before and after pictures, operative reports, and progress notes of all things done to your breast. The easiest way to do this is to request a complete copy of your medical record. Best, Mats Hagstrom, MD.
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